You are assessing a new client on the unit who has been admitted for observation after a motor vehicle accident. The client is a female, aged 22 years, appearing well nourished. Vital signs are WNL. Weight:height ratio is WNL
During your assessment, you note abrasions on the back of the client's hands. What would this indicate to you?
A) Possible recent fist fight
B) The client has a cat
C) Recent gardening work
D) Possible induced purging
D
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The nurse is caring for a patient who is experiencing stress incontinence. Which goal is the most important for this patient?
a. The patient will carefully complete a voiding diary for the duration of 2 weeks. b. The patient will not experience involuntary urination during coughing or sneezing. c. The patient will be able to recognize and effectively manage perineal dermatitis. d. The patient will demonstrate how to appropriately use urinary incontinence products.
Why will a nurse find it difficult to conduct venipuncture on an older adult?
A) Because older adults find it difficult to keep still during the procedure B) Because older adults find the procedure more painful than others C) Because veins of older adults tend to be rigid D) Because older adults have cardiac or renal disorders
A pregnant client who swims three to five times per week asks the nurse if she should stop this activity. What is the appropriate nursing response?
A. "You should decrease the number of times you swim per week." B. "You should continue your exercise program, because it would be beneficial." C. "You should discontinue your exercise program immediately." D. "You should increase the number of times you swim per week."
The nurse suspects that a client is having difficulty with specific self-esteem. Which client statements caused the nurse to have this concern?
1. "I hate my hair." 2. "Life is wonderful!" 3. "My hips are too big." 4. "I wish I had that nose job 2 years ago." 5. "It is awesome that I got that promotion at work."